13330 SW BRITTANY DRIVE 13330 SW Brittany Drive
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CITYOF TIGARD MECHANICAL PERMIT —
DEVELOPMENT SERVICES PERMIT#: MEC2000-00425
i3i25 sW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/27/00
SITE ADDRESS: 13330 SW BRITTANY DR PARCEL: 1 S133DC-06500
SUBDIVISION: BRITTANY SQUARE NO. 1 ZONING: R-12
—^_ BLOCK: LOT: 023 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: —� EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCC0PANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS _ HOODS:
FUEL TYPES _ 0 - 3 HF: DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS?: 30 • 5n HP: REPAIR UNITS:
GAS PRESSURE: 50 + ,y P: WOODSTOVES:
FURN < 100K BTU: AIR KANDLING UNITS CLO DRYERS:
FURN >=100K BTU: <= 10000 zfm: -- OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS: I
Remarks: Installation of gas stove and piping.
Owner: _ --_----_ --- F_E E$ —�
MUNDON, CAROLYN A+ JERRY L Type By Date — Amount Receipt
13330 BRITTANY UR PRMT CTR 10/27/00 $72.50 272000000C
TIGARDD,, OR 972.23 5PCT CTR 10/2i'•'00 $5.80 272000000C
Phone: __ Total $78.30
Contractor:
COLUMBIA HEATING + COOLING INC
PO 15?X 230397
TIGARD, OR 9722.3 �— RI-QUIRED INSPECTIONS
Gas Line Insp
Phone:624--2704 Mechanical Insp
Rug#:LIC 76359 Final Inspection
FILM 34-175
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is riot started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-00.10 through OAR 952-001-0080.
You may obtaiq Copies of these rules or direct questions toOUNC 1py calling 503)246-99 9.
Issue By: ' = _ Permittee Slgwg4e: Zj
Call (503) 639-4175 by 7:00 P.M. for inspections needfad the next business day
Mechanical Pern itt plicationENE
Datereceived:/,0/f
City of Tigard Permit no.:Her ZctC�-A�y2s
City of Tigard
Address: 13125 SW Hall Blvd,%kb* PM
Projec 'appl.no.: Expire date:
Phone: (503) 639-4171 Date issued: By: Receipt no.:
Fax; (503) 598-1960 COMM111"o tt1FMt ,: Case file no.:
Payment type:
Land use approval: Building permit no.:
1 &2 family dwelling or accessory 0 Commercial/industrial
U New construction t J Multifamily 0 Tenant improvement
J natiillui:'alteration/replacement 0 Other:
—[ 1111111111111IM1111 la
Job address: q 7 <I
Bldg,no.; Indicate equipment quantities in boxes below.Indicate the dollar
Suite no.! value of all mechanical materials,equipment,labor,overhead.
Tax ma /tax lot/account no.: profit. Value$
Lot: Block: Subdivision: — *See checklist for important application information wid
Project name: jurisdiction's fee schedule for residential permit fee.
=Improvement
.7n 'Will
arson of work on premises: �, ,�
101 11IL111111ARIMIR11al W"=
ion/inspec 1OL! Fee(e+r•) fotul
Aescri tion RCc,onh ltcs.only
pment or change of—us—e __ -
Is exit:-ig space heated or con,litioned?0 Yes p No Air handling unit ___CFM
CFM
Is existing space insulated?U Yes U No Aircon a onln (sli len re urre _
tetat ono exiaung system
of er compressors --
Business name: I State boiler permit no.:
Address: X HP 'Pons BTU/lt
Ci ; je
r
,mo edam ars ductsmokedctecturs --
�'a�
State ZIP: at pump site p an requved) —
Phone: Fax: •� E-mail °'r reMaacefurnacc/burner /
CCB no.: 9 D 0 Z 0 Z Including ductwork/vent liner 0 Yes O No
Cily/metro lis no.: 17 Q nsta rep nce relocate eaters-suspended-,_'__
wall,or floor mounted
Name(please print); , t.� - ant for ap ranee of er than furnace —'
ne gera on:
Absorption units BTU/H
Chillers HP
Address: ` Com ressors i-(p -- —
Ct :- fl.� State pl- ZIP; onmenta exhaust an t cent ann,
Phone: - - Fax;5c r. ;mail: A ltancevent
p
ryere gust
0os, ype /res. irchenitia�mat
Name: hood fire suppression system
Fxhaust fan with single duct(bath fans)
Halling address: 1 t i t� rLxTn a u a t SYV stem a 1p,art from heaun or
_Llty J t State: ZA':C1 Fuel p p ng an st ut on(up to 4 outlets)
Fax; Email fY e; LPG NG __ Oil y`j'� 4U
ue 1pin
g each additional over 4 out ets
rDec'sPiping(schematic requited)
Name: I number of outlets —
Address: ter le app once or rqu pment:—
C
Decorative fireplace Jty' State: ZIP: �_ neem-ty — —
Phone: F -mad: oo stov rwlieistove -"-- ----
Applicant's signatur : Date: /l� / '�1 lei'—' •' '�
Narne (print):' �� er: _
rNot all Jurisdictions Accept credit earns,please toll Jurikftaaor-norf oreIaformWon. Permit fee.....................$ _
U vian O Nil utetCard Notice This permit application Minimum fee................$
Credit card number:_ expires if a permit is not obtained
within 1$0 days after it has bcc,t Plan review(at _ %) $
NNTwoTcnidholrler ns s town on ctedit para accepted as complete, State surcharge(8%)., $ -
--- ----- s TOTAL ..............
--Caaa of si aalure ...•.....$
Amonm
440.4617(6WCOM)
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